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General NPI Number Information
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NPI Number | 1861236150
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Entity Type | Organization
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Legal Business Name | MAGNOLIA HEALTH SYSTEM LLC
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1130 E SHAW AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93710-7838
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Country | US
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Telephone | 346-786-9066
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Fax | 559-787-7861
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Provider Business Mailing Address
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Address Line | 1130 E SHAW AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93710-7838
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Country | US
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Telephone | 559-406-9838
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Fax | 559-787-7861
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JONATHAN CARRIGAN-ECHOLS
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Credential | ESQ
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Telephone | 559-406-9838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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